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The CPT® Code 95144 refers to the professional services involved in the supervision of the preparation and provision of antigens specifically for allergen immunotherapy. This procedure is performed by an allergist or another qualified supplier who oversees the preparation of single dose vials containing the necessary antigens. These antigens are formulated based on the results obtained from allergy testing services, which are reported separately. The preparation process ensures that the correct dosage of the allergen is accurately formulated and provided to the patient in single dose vials. Each vial is designed to deliver a precise formulation intended for a single injection of the antigen, facilitating a controlled and effective immunotherapy regimen. The total number of single dose vials required for a complete course of immunotherapy is prepared, and the allergist reports the code 95144 for each vial supplied. Typically, the allergist administers the initial dose of the antigen and monitors the patient for any adverse reactions. Following this initial administration, the patient is responsible for taking the remaining single dose vials to another healthcare provider, who will administer the subsequent doses as part of the ongoing treatment plan.
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The procedure associated with CPT® Code 95144 is indicated for patients undergoing allergen immunotherapy. The specific indications for this procedure include:
The procedure for CPT® Code 95144 involves several key steps in the preparation and provision of antigens for allergen immunotherapy:
Post-procedure care following the administration of the initial dose of allergen immunotherapy is essential for patient safety and monitoring. The allergist observes the patient for any immediate adverse reactions, which may include symptoms such as swelling, itching, or difficulty breathing. Patients are typically advised to report any unusual symptoms or reactions that occur after they have taken the single dose vials to their subsequent healthcare provider. It is also important for patients to adhere to the prescribed schedule for administering the remaining doses to ensure the effectiveness of the immunotherapy. Regular follow-up appointments may be scheduled to assess the patient's response to the treatment and make any necessary adjustments to the immunotherapy regimen.
| Short Descr | ANTIGEN THERAPY SERVICES | Medium Descr | PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO | Long Descr | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials) | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 30 | CCS Clinical Classification | 228 - Prophylactic vaccinations and inoculations |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Medium description changed. |
| 2005-01-01 | Changed | Code description changed. |
| 2002-01-01 | Changed | Code description changed. |
| 1994-01-01 | Added | First appearance in code book in 1994. |
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